Failure to Maintain Sanitary and Odor-Free Environment
Penalty
Summary
Surveyors observed that the facility failed to maintain a functional, sanitary, and comfortable environment across all three units. Strong odors of urine and feces were present in multiple areas, including hallways and common areas. The carpeted floor on one unit was soiled with multiple stains, and dirty linens were found on the floor under a sink in another unit. Staff were made aware of these conditions during the survey, but no immediate care was provided to residents present in affected areas for at least 20 minutes. Additionally, a strong odor consistent with cannabis was detected near a medication cart, and staff interviews confirmed that an LPN had smoked prior to entering the building, resulting in a noticeable odor. The facility's Personal Appearance policy requires employees to avoid offensive odors, including those from tobacco or marijuana, and mandates that staff with such odors be sent home to address the issue. Despite this policy, staff and residents reported ongoing issues with staff entering the building smelling of smoke. The Director of Nursing and Administrator acknowledged these concerns, noting that some staff had been educated or sent home when identified, but the persistent odors and unsanitary conditions were not adequately addressed at the time of the survey.